Safarian, Edmond K
Safarian, Edmond K is an individual health care provider with primary practice located at 755 Grand Blvd Suite B105/228, Miramar Beach FL 32550-1838. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Safarian, Edmond K can be contacted via phone (850) 797-1425.Contact Information
Primary practice address
755 Grand Blvd Suite B105/228
Miramar Beach FL 32550-1838
Phone: (850) 797-1425
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25073 | Alabama |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 47821 | Kentucky |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD0000037004 | Tennessee |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME85762 | Florida |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2014015861 | Missouri |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 33147 | Arizona |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD61088220 | Washington |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD61088220 | Washington |
Profile Details
| NPI number | 1073587945 |
|---|---|
| LBN Legal business name | Safarian, Edmond K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jun 26th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073587945 | NPPES |
| Arizona | MEDICAID | 991123 | |
| Arizona | Other | 200036048 | |
| Arizona | Other | AZ0778160 | |
| Arizona | MEDICAID | 5363245900 |
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